Individual
MRS. TARI S ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
5777 KELLOGG AVENUE, CINCINNATI, OH 45230
(513) 232-3232
(513) 232-3202
Mailing address
5777 KELLOGG AVE, CINCINNATI, OH 45230-7142
(513) 232-3232
(513) 232-3202
Taxonomy
Speciality
Code
Description
License number
State
207VG0400X
Gynecology Physician
Primary
35058827
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
6418350001
MEDICARE DME
OH
Enumeration date
09/13/2006
Last updated
12/06/2011
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